“BRUE” with Choking
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Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also regarding your thought processes and the evidence behind your decisions. We can learn from each other!
You are seeing a 29 day old afebrile former 35 weeker brought in by ambulance. The patient was given a few sips of “gripe water” for runny nose, appeared to choke and gasp for air, turned blue briefly, then recovered. The entire episode was about a minute. There was no tone change. The baby has no birth complications. The baby’s vital signs and physical exam are normal in the ED, pulse ox is 100% on room air, RSV testing is negative. What would be your management?